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Analysis that used earlier audit dates showed that the January increase in tests occurred every year as far back as 2005 (data available from authors).
In a further analysis, however, we used a rolling time window of audit dates representing the 1st of the month from May to September 2013 to check whether the results were sensitive to the choice of audit date.
The nature of the data, with irregular audit dates and clustering within hospitals, indicated that a multilevel model would be most appropriate and would allow adjustment for hospital level variance.
If the planned audit dates conflict with high priority events, an executive may be able to call the examiner-in-charge and request a delay.
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The mass layoffs stem from the results of an internal audit dating from April of this year.
An internal audit dated May 2012 counted 2,776 incidents of unauthorised data collection over the previous 12 months.
The audit, dated June 16, relied on a survey of 138 World Bank employees and interviews with key staff, as well as an analysis of the bank's projects and procedures.
Table 1 presents the number of cases analysed by establishment and the audit date in each.
19 The choice of audit date did not greatly affect the prevalence of the indicator (comparing audit date 1 April 2013 with a rolling time window 1 May-1 September 2013) except for M4 (prescription of lithium without a lithium level test).
The prevalence of these indicators was not sensitive to the choice of audit date, suggesting that seasonality and the Quality Outcomes Framework (QOF) return date had little impact.
The lower prevalence when we used the 1 April audit date was because of an increased frequency of lithium level tests during January 2013.
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